Individual
JAQUELINE AIDE BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 N RAUL LONGORIA RD, SUITE I, SAN JUAN, TX 78589-3720
(956) 782-5800
(956) 782-5802
Mailing address
1205 N RAUL LONGORIA RD, SUITE I, SAN JUAN, TX 78589-3720
(956) 782-5800
(956) 782-5802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211708
TX
Other
Enumeration date
04/01/2013
Last updated
12/16/2014
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